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San Manuel

This document reports on the consolidated oral health status and services provided in January 2018. It shows that for all age groups including under six children and young adults between 10-24 years old, there were no patients attended, examined, or receiving any oral health services. All categories for oral health status and services rendered were reported as having totals of zero. The report was prepared and signed by a designated official.

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June Soliman
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We take content rights seriously. If you suspect this is your content, claim it here.
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14 views70 pages

San Manuel

This document reports on the consolidated oral health status and services provided in January 2018. It shows that for all age groups including under six children and young adults between 10-24 years old, there were no patients attended, examined, or receiving any oral health services. All categories for oral health status and services rendered were reported as having totals of zero. The report was prepared and signed by a designated official.

Uploaded by

June Soliman
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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Month/Quarter/Year January 2018 CONSOLIDATED ORAL HEALTH STATUS AND SERVIC

Center for Health Development III


Municipality/City/Province
UNDER SIX CHILDREN YOUNG ADULT
<1 1 2 3 4 5 TOTAL 10-24 Y/O
M F M F M F M F M F M F M F M

NO. OF PERSON ATTENDED 0 0


NO. OF PERSON EXAMINED 0 0
A. ORAL HEALTH STATUS
1. Total No. with Dental Caries 0 0
2. Total No. with Gingivitis 0 0
3. Total No. with Periodontal Disease 0 0
4. Total No. with Oral Debris 0 0
5. Total No. with Calculus 0 0
6. Total No. with Dento Facial Anomalies (cleft lip/palate. 0 0
Malocclusion, etc)
7. Total (d/f) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
a. Total decayed (d) 0 0
b. Total filled (f) 0 0
8. Total (D/M/F) 0 0 0 0 0
a. Total Decayed (D) 0 0
b. Total Missing (M) 0 0
c. Total Filled (F) 0 0
B.SERVICES RENDERED
1. No. Given OP / Scaling 0 0
2. No. Given Permanent Fillings 0 0
3. No. Given Temporary Fillings 0 0
4. No. Given Extraction 0 0
5. No. Given Gum Treatment 0 0
6. No. Given Sealant 0 0
7. No. Completed Fluoride Therapy 0 0
8. No. Given Post-Operative Treatment 0 0
9. No. of Patient with Oral Abscess Drained 0 0
10. No. Given Other Services 0 0
11. No. Referred 0 0
12. No. Given Counseling / Education on Tobacco, Oral Health, Diet, Etc.
13. No. of Under Six Children Completed Toothbrush Drill
C. NO. OF ORALLY FIT CHILDREN (OFC) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. OFC Upon Oral Examination 0 0
2.OFC Upon Complete Oral Rehabilitation 0 0

Prepared By:

Signature Over Printed Name


Designation
STATUS AND SERVICES MONTHLY REPORT

OLDER
YOUNG ADULT OTHER GROUPS TOTAL
PERSONS PREGNANT GRAND
10-24 Y/O 6-9 AND OTHER ADULTS ALL AGES
60+ Y/O WOMEN TOTAL
F M F M F M F

0 0 0
0 0 0

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 0

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
Month/Quarter/Year February 2018 CONSOLIDATED ORAL HEALTH STATUS AND SERVIC
Center for Health Development III
Municipality/City/Province
UNDER SIX CHILDREN YOUNG ADULT
<1 1 2 3 4 5 TOTAL 10-24 Y/O
M F M F M F M F M F M F M F M

NO. OF PERSON ATTENDED 0 0


NO. OF PERSON EXAMINED 0 0
A. ORAL HEALTH STATUS
1. Total No. with Dental Caries 0 0
2. Total No. with Gingivitis 0 0
3. Total No. with Periodontal Disease 0 0
4. Total No. with Oral Debris 0 0
5. Total No. with Calculus 0 0
6. Total No. with Dento Facial Anomalies (cleft lip/palate. 0 0
Malocclusion, etc)
7. Total (d/f) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
a. Total decayed (d) 0 0
b. Total filled (f) 0 0
8. Total (D/M/F) 0 0 0 0 0
a. Total Decayed (D) 0 0
b. Total Missing (M) 0 0
c. Total Filled (F) 0 0
B.SERVICES RENDERED
1. No. Given OP / Scaling 0 0
2. No. Given Permanent Fillings 0 0
3. No. Given Temporary Fillings 0 0
4. No. Given Extraction 0 0
5. No. Given Gum Treatment 0 0
6. No. Given Sealant 0 0
7. No. Completed Fluoride Therapy 0 0
8. No. Given Post-Operative Treatment 0 0
9. No. of Patient with Oral Abscess Drained 0 0
10. No. Given Other Services 0 0
11. No. Referred 0 0
12. No. Given Counseling / Education on Tobacco, Oral Health, Diet, Etc.
13. No. of Under Six Children Completed Toothbrush Drill
C. NO. OF ORALLY FIT CHILDREN (OFC) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. OFC Upon Oral Examination 0 0
2.OFC Upon Complete Oral Rehabilitation 0 0

Prepared By:

Signature Over Printed Name


Designation
STATUS AND SERVICES MONTHLY REPORT

OLDER
YOUNG ADULT OTHER GROUPS TOTAL
PERSONS PREGNANT GRAND
10-24 Y/O 6-9 AND OTHER ADULTS ALL AGES
60+ Y/O WOMEN TOTAL
F M F M F M F

0 0 0
0 0 0

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 0

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
Month/Quarter/Year March 2018 CONSOLIDATED ORAL HEALTH STATUS AND SERVIC
Center for Health Development III
Municipality/City/Province
UNDER SIX CHILDREN YOUNG ADULT
<1 1 2 3 4 5 TOTAL 10-24 Y/O
M F M F M F M F M F M F M F M

NO. OF PERSON ATTENDED 0 0


NO. OF PERSON EXAMINED 0 0
A. ORAL HEALTH STATUS
1. Total No. with Dental Caries 0 0
2. Total No. with Gingivitis 0 0
3. Total No. with Periodontal Disease 0 0
4. Total No. with Oral Debris 0 0
5. Total No. with Calculus 0 0
6. Total No. with Dento Facial Anomalies (cleft lip/palate. 0 0
Malocclusion, etc)
7. Total (d/f) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
a. Total decayed (d) 0 0
b. Total filled (f) 0 0
8. Total (D/M/F) 0 0 0 0 0
a. Total Decayed (D) 0 0
b. Total Missing (M) 0 0
c. Total Filled (F) 0 0
B.SERVICES RENDERED
1. No. Given OP / Scaling 0 0
2. No. Given Permanent Fillings 0 0
3. No. Given Temporary Fillings 0 0
4. No. Given Extraction 0 0
5. No. Given Gum Treatment 0 0
6. No. Given Sealant 0 0
7. No. Completed Fluoride Therapy 0 0
8. No. Given Post-Operative Treatment 0 0
9. No. of Patient with Oral Abscess Drained 0 0
10. No. Given Other Services 0 0
11. No. Referred 0 0
12. No. Given Counseling / Education on Tobacco, Oral Health, Diet, Etc.
13. No. of Under Six Children Completed Toothbrush Drill
C. NO. OF ORALLY FIT CHILDREN (OFC) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. OFC Upon Oral Examination 0 0
2.OFC Upon Complete Oral Rehabilitation 0 0

Prepared By:

Signature Over Printed Name


Designation
STATUS AND SERVICES MONTHLY REPORT

OLDER
YOUNG ADULT OTHER GROUPS TOTAL
PERSONS PREGNANT GRAND
10-24 Y/O 6-9 AND OTHER ADULTS ALL AGES
60+ Y/O WOMEN TOTAL
F M F M F M F

0 0 0
0 0 0

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 0

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
Month/Quarter/Year April 2018 CONSOLIDATED ORAL HEALTH STATUS AND SERVIC
Center for Health Development III
Municipality/City/Province
UNDER SIX CHILDREN YOUNG ADULT
<1 1 2 3 4 5 TOTAL 10-24 Y/O
M F M F M F M F M F M F M F M

NO. OF PERSON ATTENDED 0 0


NO. OF PERSON EXAMINED 0 0
A. ORAL HEALTH STATUS
1. Total No. with Dental Caries 0 0
2. Total No. with Gingivitis 0 0
3. Total No. with Periodontal Disease 0 0
4. Total No. with Oral Debris 0 0
5. Total No. with Calculus 0 0
6. Total No. with Dento Facial Anomalies (cleft lip/palate. 0 0
Malocclusion, etc)
7. Total (d/f) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
a. Total decayed (d) 0 0
b. Total filled (f) 0 0
8. Total (D/M/F) 0 0 0 0 0
a. Total Decayed (D) 0 0
b. Total Missing (M) 0 0
c. Total Filled (F) 0 0
B.SERVICES RENDERED
1. No. Given OP / Scaling 0 0
2. No. Given Permanent Fillings 0 0
3. No. Given Temporary Fillings 0 0
4. No. Given Extraction 0 0
5. No. Given Gum Treatment 0 0
6. No. Given Sealant 0 0
7. No. Completed Fluoride Therapy 0 0
8. No. Given Post-Operative Treatment 0 0
9. No. of Patient with Oral Abscess Drained 0 0
10. No. Given Other Services 0 0
11. No. Referred 0 0
12. No. Given Counseling / Education on Tobacco, Oral Health, Diet, Etc.
13. No. of Under Six Children Completed Toothbrush Drill
C. NO. OF ORALLY FIT CHILDREN (OFC) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. OFC Upon Oral Examination 0 0
2.OFC Upon Complete Oral Rehabilitation 0 0

Prepared By:

Signature Over Printed Name


Designation
STATUS AND SERVICES MONTHLY REPORT

OLDER
YOUNG ADULT OTHER GROUPS TOTAL
PERSONS PREGNANT GRAND
10-24 Y/O 6-9 AND OTHER ADULTS ALL AGES
60+ Y/O WOMEN TOTAL
F M F M F M F

0 0 0
0 0 0

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 0

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
Month/Quarter/Year May 2018 CONSOLIDATED ORAL HEALTH STATUS AND SERVIC
Center for Health Development III
Municipality/City/Province
UNDER SIX CHILDREN YOUNG ADULT
<1 1 2 3 4 5 TOTAL 10-24 Y/O
M F M F M F M F M F M F M F M

NO. OF PERSON ATTENDED 0 0


NO. OF PERSON EXAMINED 0 0
A. ORAL HEALTH STATUS
1. Total No. with Dental Caries 0 0
2. Total No. with Gingivitis 0 0
3. Total No. with Periodontal Disease 0 0
4. Total No. with Oral Debris 0 0
5. Total No. with Calculus 0 0
6. Total No. with Dento Facial Anomalies (cleft lip/palate. 0 0
Malocclusion, etc)
7. Total (d/f) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
a. Total decayed (d) 0 0
b. Total filled (f) 0 0
8. Total (D/M/F) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
a. Total Decayed (D) 0 0
b. Total Missing (M) 0 0
c. Total Filled (F) 0 0
B.SERVICES RENDERED
1. No. Given OP / Scaling 0 0
2. No. Given Permanent Fillings 0 0
3. No. Given Temporary Fillings 0 0
4. No. Given Extraction 0 0
5. No. Given Gum Treatment 0 0
6. No. Given Sealant 0 0
7. No. Completed Fluoride Therapy 0 0
8. No. Given Post-Operative Treatment 0 0
9. No. of Patient with Oral Abscess Drained 0 0
10. No. Given Other Services 0 0
11. No. Referred 0 0
12. No. Given Counseling / Education on Tobacco, Oral Health, Diet, Etc. 0 0
13. No. of Under Six Children Completed Toothbrush Drill
C. NO. OF ORALLY FIT CHILDREN (OFC) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. OFC Upon Oral Examination 0 0
2.OFC Upon Complete Oral Rehabilitation 0 0

Prepared By:

Signature Over Printed Name


Designation
STATUS AND SERVICES MONTHLY REPORT

OLDER
YOUNG ADULT OTHER GROUPS TOTAL
PERSONS PREGNANT GRAND
10-24 Y/O 6-9 AND OTHER ADULTS ALL AGES
60+ Y/O WOMEN TOTAL
F M F M F M F

0 0 0
0 0 0

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 0

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0
0 0 0
0 0 0
Month/Quarter/Year June 2018 CONSOLIDATED ORAL HEALTH STATUS AND SERVIC
Center for Health Development III
Municipality/City/Province
UNDER SIX CHILDREN YOUNG ADULT
<1 1 2 3 4 5 TOTAL 10-24 Y/O
M F M F M F M F M F M F M F M

NO. OF PERSON ATTENDED 0 0


NO. OF PERSON EXAMINED 0 0
A. ORAL HEALTH STATUS
1. Total No. with Dental Caries 0 0
2. Total No. with Gingivitis 0 0
3. Total No. with Periodontal Disease 0 0
4. Total No. with Oral Debris 0 0
5. Total No. with Calculus 0 0
6. Total No. with Dento Facial Anomalies (cleft lip/palate. 0 0
Malocclusion, etc)
7. Total (d/f) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
a. Total decayed (d) 0 0
b. Total filled (f) 0 0
8. Total (D/M/F) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
a. Total Decayed (D) 0 0
b. Total Missing (M) 0 0
c. Total Filled (F) 0 0
B.SERVICES RENDERED
1. No. Given OP / Scaling 0 0
2. No. Given Permanent Fillings 0 0
3. No. Given Temporary Fillings 0 0
4. No. Given Extraction 0 0
5. No. Given Gum Treatment 0 0
6. No. Given Sealant 0 0
7. No. Completed Fluoride Therapy 0 0
8. No. Given Post-Operative Treatment 0 0
9. No. of Patient with Oral Abscess Drained 0 0
10. No. Given Other Services 0 0
11. No. Referred 0 0
12. No. Given Counseling / Education on Tobacco, Oral Health, Diet, Etc. 0 0
13. No. of Under Six Children Completed Toothbrush Drill
C. NO. OF ORALLY FIT CHILDREN (OFC) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. OFC Upon Oral Examination 0 0
2.OFC Upon Complete Oral Rehabilitation 0 0

Prepared By:

Signature Over Printed Name


Designation
STATUS AND SERVICES MONTHLY REPORT

OLDER
YOUNG ADULT OTHER GROUPS TOTAL
PERSONS PREGNANT GRAND
10-24 Y/O 6-9 AND OTHER ADULTS ALL AGES
60+ Y/O WOMEN TOTAL
F M F M F M F

0 0 0
0 0 0

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 0

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0
0 0 0
0 0 0
Month/Quarter/Year July 2018 CONSOLIDATED ORAL HEALTH STATUS AND SERVIC
Center for Health Development III
Municipality/City/Province SAN MANUEL
UNDER SIX CHILDREN YOUNG ADULT
<1 1 2 3 4 5 TOTAL 10-24 Y/O
M F M F M F M F M F M F M F M

NO. OF PERSON ATTENDED 18 13 14 16 32 29 15


NO. OF PERSON EXAMINED 18 13 14 16 32 29 10
A. ORAL HEALTH STATUS
1. Total No. with Dental Caries 14 12 13 14 27 26 10
2. Total No. with Gingivitis 0 0
3. Total No. with Periodontal Disease 0 0
4. Total No. with Oral Debris 0 0
5. Total No. with Calculus 0 0
6. Total No. with Dento Facial Anomalies (cleft lip/palate. 0 0
Malocclusion, etc)
7. Total (d/f) 0 0 0 0 0 0 0 0 151 96 87 108 238 204 0
a. Total decayed (d) 151 96 87 108 238 204
b. Total filled (f) 0 0
8. Total (D/M/F) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 171
a. Total Decayed (D) 0 0 71
b. Total Missing (M) 0 0 98
c. Total Filled (F) 0 0 2
B.SERVICES RENDERED
1. No. Given OP / Scaling 0 0
2. No. Given Permanent Fillings 0 0
3. No. Given Temporary Fillings 0 0
4. No. Given Extraction 0 0 12
5. No. Given Gum Treatment 0 0
6. No. Given Sealant 0 0
7. No. Completed Fluoride Therapy 18 13 14 16 32 29
8. No. Given Post-Operative Treatment 0 0
9. No. of Patient with Oral Abscess Drained 0 0
10. No. Given Other Services 18 13 14 16 32 29
11. No. Referred 0 0
12. No. Given Counseling / Education on Tobacco, Oral Health, Diet, Etc. 0 0 10
13. No. of Under Six Children Completed Toothbrush Drill 32 29
C. NO. OF ORALLY FIT CHILDREN (OFC) 0 0 0 0 0 0 0 0 4 1 1 2 5 3 0
1. OFC Upon Oral Examination 4 1 1 2 5 3
2.OFC Upon Complete Oral Rehabilitation 0 0

Prepared By:

Signature Over Printed Name


Designation
STATUS AND SERVICES MONTHLY REPORT

OLDER
YOUNG ADULT OTHER GROUPS TOTAL
PERSONS PREGNANT GRAND
10-24 Y/O 6-9 AND OTHER ADULTS ALL AGES
60+ Y/O WOMEN TOTAL
F M F M F M F
9 6 8 18 17 15 70 79 149
6 5 7 14 13 12 60 68 128

6 5 7 14 13 12 55 65 120
1 0 1 1
1 1 0 1
2 2 2 2 4
2 0 2 2
1 1 0 1
0 0 0 0 0 0 238 204 442
238 204 442
0 0 0
98 119 149 170 237 203 527 620 1147
65 29 47 98 121 108 221 318 539
32 90 102 70 115 92 303 296 599
1 2 1 3 3 6 9

0 0 0
0 0 0
0 0 0
7 5 7 15 14 32 28 60
0 0 0
0 0 0
32 29 61
0 0 0
0 0 0
32 29 61
1 1 3 1 4 5
6 5 7 14 13 12 28 39 67
32 29 61
0 0 0 0 0 0 5 3 8
5 3 8
0 0 0
Month/Quarter/Year August 2018 CONSOLIDATED ORAL HEALTH STATUS AND SERVICES MONTHLY REPORT
Center for Health Development III
Municipality/City/Province SAN MANUEL
UNDER SIX CHILDREN YOUNG ADULT OLDER
PERSONS PREGNANT OTHER GROUPS TOTAL GRAND
<1 1 2 3 4 5 TOTAL 10-24 Y/O 6-9 AND OTHER ADULTS ALL AGES
60+ Y/O WOMEN TOTAL
M F M F M F M F M F M F M F M F M F M F M F

NO. OF PERSON ATTENDED 1 51 45 21 19 72 65 21 21 16 10 27 34 28 143 151 294


NO. OF PERSON EXAMINED 1 51 45 21 19 72 65 17 18 14 10 23 30 24 133 140 273
A. ORAL HEALTH STATUS
1. Total No. with Dental Caries 1 44 41 19 63 42 17 18 14 10 30 24 124 94 218
2. Total No. with Gingivitis 0 0 1 2 3 3 3 6
3. Total No. with Periodontal Disease 0 0 0 0 0
4. Total No. with Oral Debris 0 0 1 2 2 2 3 5
5. Total No. with Calculus 0 0 5 9 2 3 2 17 19
6. Total No. with Dento Facial Anomalies (cleft lip/palate. 0 0 1 1 0 2 2
Malocclusion, etc)
7. Total (d/f) 0 0 0 0 0 0 0 8 303 226 155 111 458 345 8 11 8 11 474 367 841
a. Total decayed (d) 8 303 226 155 111 458 345 5 11 8 11 471 367 838
b. Total filled (f) 0 0 0 0 0
8. Total (D/M/F) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 215 226 272 225 399 367 397 854 1247 2101
a. Total Decayed (D) 0 0 121 138 104 101 249 230 244 455 732 1187
b. Total Missing (M) 0 0 92 87 168 124 148 134 145 394 504 898
c. Total Filled (F) 0 0 2 1 2 3 8 5 11 16
B.SERVICES RENDERED
1. No. Given OP / Scaling 33 42 21 3 54 45 54 45 99
2. No. Given Permanent Fillings 0 0 0 0 0
3. No. Given Temporary Fillings 0 0 0 0 0
4. No. Given Extraction 0 0 17 18 14 10 29 22 60 50 110
5. No. Given Gum Treatment 0 0 0 0 0
6. No. Given Sealant 0 0 0 0 0
7. No. Completed Fluoride Therapy 0 0 0 0 0
8. No. Given Post-Operative Treatment 0 0 0 0 0
9. No. of Patient with Oral Abscess Drained 0 0 0 0 0
10. No. Given Other Services 51 42 21 19 72 61 1 3 2 1 75 65 140
11. No. Referred 0 0 1 2 5 3 6 5 11
12. No. Given Counseling / Education on Tobacco, Oral Health, Diet, Etc. 0 0 18 18 14 10 23 30 24 62 75 137
13. No. of Under Six Children Completed Toothbrush Drill 0 0 0
C. NO. OF ORALLY FIT CHILDREN (OFC) 0 0 0 0 0 0 0 0 7 4 2 3 9 7 0 0 0 0 0 0 0 9 7 16
1. OFC Upon Oral Examination 7 4 2 3 9 7 9 7 16
2.OFC Upon Complete Oral Rehabilitation 0 0 0 0 0

Prepared By:

Signature Over Printed Name


Designation
Month/Quarter/Year September 2018 CONSOLIDATED ORAL HEALTH STATUS AND SERVICES MONTHLY REPORT
Center for Health Development III
Municipality/City/Province SAN MANUEL
San Manuel (CHC 6) UNDER SIX CHILDREN YOUNG ADULT OLDER
PERSONS PREGNANT OTHER GROUPS TOTAL GRAND
<1 1 2 3 4 5 TOTAL 10-24 Y/O 6-9 AND OTHER ADULTS ALL AGES
60+ Y/O WOMEN TOTAL
M F M F M F M F M F M F M F M F M F M F M F

NO. OF PERSON ATTENDED 3 6 30 25 2 4 35 35 31 24 15 11 44 35 29 116 143 259


NO. OF PERSON EXAMINED 3 6 30 25 2 4 35 35 24 18 12 9 41 24 29 95 132 227
A. ORAL HEALTH STATUS
1. Total No. with Dental Caries 2 5 29 24 2 33 29 24 18 12 9 41 24 20 93 117 210
2. Total No. with Gingivitis 0 0 20 5 5 5 25 30
3. Total No. with Periodontal Disease 0 0 2 1 2 1 3
4. Total No. with Oral Debris 0 0 0 0 0
5. Total No. with Calculus 0 0 21 4 4 4 25 29
6. Total No. with Dento Facial Anomalies (cleft lip/palate. 0 0 1 2 3 4 2 6
Malocclusion, etc)
7. Total (d/f) 0 0 0 0 0 0 8 39 265 222 19 45 292 306 11 11 0 0 0 9 11 312 328 640
a. Total decayed (d) 8 39 264 221 19 45 291 305 11 10 9 11 311 326 637
b. Total filled (f) 1 1 1 1 1 1 2
8. Total (D/M/F) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 409 366 364 308 517 416 462 1189 1653 2842
a. Total Decayed (D) 0 0 218 180 125 98 277 234 214 577 769 1346
b. Total Missing (M) 0 0 190 184 239 210 238 179 242 608 874 1482
c. Total Filled (F) 0 0 1 2 2 3 6
6 4 10 14
B.SERVICES RENDERED
1. No. Given OP / Scaling 5 30 25 2 4 32 34 32 34 66
2. No. Given Permanent Fillings 0 0 0 0 0
3. No. Given Temporary Fillings 0 0 0 0 0
4. No. Given Extraction 0 0 25 20 12 11 30 23 67 54 121
5. No. Given Gum Treatment 0 0 0 0 0
6. No. Given Sealant 0 0 0 0 0
7. No. Completed Fluoride Therapy 0 0 2 3 3 2 5
8. No. Given Post-Operative Treatment 0 0 0 0 0
9. No. of Patient with Oral Abscess Drained 0 0 0 0 0
10. No. Given Other Services 6 30 25 2 4 32 35 4 3 36 38 74
11. No. Referred 0 0 1 2 2 1 1 2 5 7
12. No. Given Counseling / Education on Tobacco, Oral Health, Diet, Etc. 0 0 22 18 12 11 41 21 18 55 88 143
13. No. of Under Six Children Completed Toothbrush Drill 0 0 0
C. NO. OF ORALLY FIT CHILDREN (OFC) 0 0 0 0 0 0 1 1 1 1 0 0 2 2 0 0 0 0 0 0 0 2 2 4
1. OFC Upon Oral Examination 1 1 1 1 2 2 2 2 4
2.OFC Upon Complete Oral Rehabilitation 0 0 0 0 0

Prepared By:

Signature Over Printed Name


Designation
Month/Quarter/Year October 2018 CONSOLIDATED ORAL HEALTH STATUS AND SERVIC
Center for Health Development III
Municipality/City/Province
SAN MANUEL RHU 6 UNDER SIX CHILDREN YOUNG ADULT
<1 1 2 3 4 5 TOTAL 10-24 Y/O
M F M F M F M F M F M F M F M

NO. OF PERSON ATTENDED 1 9 12 3 3 12 16 21


NO. OF PERSON EXAMINED 1 9 12 3 3 12 16 18
A. ORAL HEALTH STATUS
1. Total No. with Dental Caries 1 9 12 3 3 12 16 18
2. Total No. with Gingivitis 1 0 1
3. Total No. with Periodontal Disease 0 0
4. Total No. with Oral Debris 0 0 2
5. Total No. with Calculus 0 0
6. Total No. with Dento Facial Anomalies (cleft lip/palate. 0 0
Malocclusion, etc)
7. Total (d/f) 0 0 0 0 0 0 0 1 94 68 23 28 117 97 0
a. Total decayed (d) 1 94 68 23 28 117 97
b. Total filled (f) 0 0
8. Total (D/M/F) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 278
a. Total Decayed (D) 0 0 149
b. Total Missing (M) 0 0 127
c. Total Filled (F) 0 0 2
B.SERVICES RENDERED
1. No. Given OP / Scaling 0 0
2. No. Given Permanent Fillings 0 0
3. No. Given Temporary Fillings 0 0
4. No. Given Extraction 0 0 18
5. No. Given Gum Treatment 0 0
6. No. Given Sealant 0 0
7. No. Completed Fluoride Therapy 0 0
8. No. Given Post-Operative Treatment 0 0
9. No. of Patient with Oral Abscess Drained 0 0
10. No. Given Other Services 0 0
11. No. Referred 0 0
12. No. Given Counseling / Education on Tobacco, Oral Health, Diet, Etc. 0 0 18
13. No. of Under Six Children Completed Toothbrush Drill
C. NO. OF ORALLY FIT CHILDREN (OFC) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. OFC Upon Oral Examination 0 0
2.OFC Upon Complete Oral Rehabilitation 0 0

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Designation
STATUS AND SERVICES MONTHLY REPORT

OLDER
YOUNG ADULT OTHER GROUPS TOTAL
PERSONS PREGNANT GRAND
10-24 Y/O 6-9 AND OTHER ADULTS ALL AGES
60+ Y/O WOMEN TOTAL
F M F M F M F
29 10 13 19 28 30 71 107 178
27 9 12 17 26 28 65 100 165

27 9 12 17 26 28 65 100 165
2 1 2 3 3 4 8 12
1 0 1 1
1 2 1 3
2 1 0 3 3
2 0 2 2
0 0 0 0 0 0 117 97 214
117 97 214
0 0 0
375 219 205 323 491 418 988 1321 2309
186 62 77 218 274 228 485 709 1194
189 157 128 99 213 187 497 603 1100
6 4 3 6 9 15

0 0 0
0 0 0
0 0 0
26 9 12 23 28 50 66 116
0 0 0
0 0 0
0 0 0
1 1 0 1
0 0 0
2 1 1 2 3
1 0 1 1
27 9 12 17 25 28 52 84 136
0 0 0
0 0 0 0 0 0 0 0 0
0 0 0
0 0 0
Month/Quarter/Year November 2018 CONSOLIDATED ORAL HEALTH STATUS AND SERVIC
Center for Health Development III
Municipality/City/Province
UNDER SIX CHILDREN YOUNG ADULT
<1 1 2 3 4 5 TOTAL 10-24 Y/O
M F M F M F M F M F M F M F M

NO. OF PERSON ATTENDED 0 0


NO. OF PERSON EXAMINED 0 0
A. ORAL HEALTH STATUS
1. Total No. with Dental Caries 0 0
2. Total No. with Gingivitis 0 0
3. Total No. with Periodontal Disease 0 0
4. Total No. with Oral Debris 0 0
5. Total No. with Calculus 0 0
6. Total No. with Dento Facial Anomalies (cleft lip/palate. 0 0
Malocclusion, etc)
7. Total (d/f) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
a. Total decayed (d) 0 0
b. Total filled (f) 0 0
8. Total (D/M/F) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
a. Total Decayed (D) 0 0
b. Total Missing (M) 0 0
c. Total Filled (F) 0 0
B.SERVICES RENDERED
1. No. Given OP / Scaling 0 0
2. No. Given Permanent Fillings 0 0
3. No. Given Temporary Fillings 0 0
4. No. Given Extraction 0 0
5. No. Given Gum Treatment 0 0
6. No. Given Sealant 0 0
7. No. Completed Fluoride Therapy 0 0
8. No. Given Post-Operative Treatment 0 0
9. No. of Patient with Oral Abscess Drained 0 0
10. No. Given Other Services 0 0
11. No. Referred 0 0
12. No. Given Counseling / Education on Tobacco, Oral Health, Diet, Etc. 0 0
13. No. of Under Six Children Completed Toothbrush Drill
C. NO. OF ORALLY FIT CHILDREN (OFC) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. OFC Upon Oral Examination 0 0
2.OFC Upon Complete Oral Rehabilitation 0 0

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Designation
STATUS AND SERVICES MONTHLY REPORT

OLDER
YOUNG ADULT OTHER GROUPS TOTAL
PERSONS PREGNANT GRAND
10-24 Y/O 6-9 AND OTHER ADULTS ALL AGES
60+ Y/O WOMEN TOTAL
F M F M F M F

0 0 0
0 0 0

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 0

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0
0 0 0
0 0 0
Month/Quarter/Year December 2018 CONSOLIDATED ORAL HEALTH STATUS AND SERVIC
Center for Health Development III
Municipality/City/Province
UNDER SIX CHILDREN YOUNG ADULT
<1 1 2 3 4 5 TOTAL 10-24 Y/O
M F M F M F M F M F M F M F M

NO. OF PERSON ATTENDED 0 0


NO. OF PERSON EXAMINED 0 0
A. ORAL HEALTH STATUS
1. Total No. with Dental Caries 0 0
2. Total No. with Gingivitis 0 0
3. Total No. with Periodontal Disease 0 0
4. Total No. with Oral Debris 0 0
5. Total No. with Calculus 0 0
6. Total No. with Dento Facial Anomalies (cleft lip/palate. 0 0
Malocclusion, etc)
7. Total (d/f) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
a. Total decayed (d) 0 0
b. Total filled (f) 0 0
8. Total (D/M/F) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
a. Total Decayed (D) 0 0
b. Total Missing (M) 0 0
c. Total Filled (F) 0 0
B.SERVICES RENDERED
1. No. Given OP / Scaling 0 0
2. No. Given Permanent Fillings 0 0
3. No. Given Temporary Fillings 0 0
4. No. Given Extraction 0 0
5. No. Given Gum Treatment 0 0
6. No. Given Sealant 0 0
7. No. Completed Fluoride Therapy 0 0
8. No. Given Post-Operative Treatment 0 0
9. No. of Patient with Oral Abscess Drained 0 0
10. No. Given Other Services 0 0
11. No. Referred 0 0
12. No. Given Counseling / Education on Tobacco, Oral Health, Diet, Etc. 0 0
13. No. of Under Six Children Completed Toothbrush Drill
C. NO. OF ORALLY FIT CHILDREN (OFC) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. OFC Upon Oral Examination 0 0
2.OFC Upon Complete Oral Rehabilitation 0 0

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Designation
STATUS AND SERVICES MONTHLY REPORT

OLDER
YOUNG ADULT OTHER GROUPS TOTAL
PERSONS PREGNANT GRAND
10-24 Y/O 6-9 AND OTHER ADULTS ALL AGES
60+ Y/O WOMEN TOTAL
F M F M F M F

0 0 0
0 0 0

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 0

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0
0 0 0
0 0 0
Month/Quarter/Year 1st Quarter 2018 CONSOLIDATED ORAL HEALTH STATUS AND SERVIC
Center for Health Development III
Municipality/City/Province
UNDER SIX CHILDREN YOUNG ADULT
<1 1 2 3 4 5 TOTAL 10-24 Y/O
M F M F M F M F M F M F M F M

NO. OF PERSON ATTENDED 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


NO. OF PERSON EXAMINED 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A. ORAL HEALTH STATUS
1. Total No. with Dental Caries 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Total No. with Gingivitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Total No. with Periodontal Disease 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4. Total No. with Oral Debris 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5. Total No. with Calculus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6. Total No. with Dento Facial Anomalies (cleft lip/palate. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Malocclusion, etc)
7. Total (d/f) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
a. Total decayed (d) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Total filled (f) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8. Total (D/M/F) 0 0 0 0 0
a. Total Decayed (D) 0 0 0 0 0
b. Total Missing (M) 0 0 0 0 0
c. Total Filled (F) 0 0 0 0 0
B.SERVICES RENDERED
1. No. Given OP / Scaling 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. No. Given Permanent Fillings 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. No. Given Temporary Fillings 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4. No. Given Extraction 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5. No. Given Gum Treatment 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6. No. Given Sealant 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7. No. Completed Fluoride Therapy 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8. No. Given Post-Operative Treatment 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9. No. of Patient with Oral Abscess Drained 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10. No Given Other Services 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11. No. Referred 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12. No. Given Counseling / Education on Tobacco, Oral Health, Diet, Etc. 0
13. No. of Under Six Children Completed Toothbrush Drill 0 0
C. NO. OF ORALLY FIT CHILDREN (OFC) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. OFC Upon Oral Examination 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2.OFC Upon Complete Oral Rehabilitation 0 0 0 0 0 0 0 0 0 0 0 0 0 0

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Designation
TATUS AND SERVICES QUARTERLY REPORT

OLDER
YOUNG ADULT OTHER GROUPS TOTAL
PERSONS PREGNANT GRAND
10-24 Y/O 6-9 AND OTHER ADULTS ALL AGES
60+ Y/O WOMEN TOTAL
F M F M F M F
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
Month/Quarter/Year 2nd Quarter 2018 CONSOLIDATED ORAL HEALTH STATUS AND SERVIC
Center for Health Development III
Municipality/City/Province
UNDER SIX CHILDREN YOUNG ADULT
<1 1 2 3 4 5 TOTAL 10-24 Y/O
M F M F M F M F M F M F M F M

NO. OF PERSON ATTENDED 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


NO. OF PERSON EXAMINED 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A. ORAL HEALTH STATUS
1. Total No. with Dental Caries 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Total No. with Gingivitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Total No. with Periodontal Disease 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4. Total No. with Oral Debris 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5. Total No. with Calculus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6. Total No. with Dento Facial Anomalies (cleft lip/palate. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Malocclusion, etc)
7. Total (d/f) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
a. Total decayed (d) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Total filled (f) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8. Total (D/M/F) 0 0 0 0 0
a. Total Decayed (D) 0 0 0 0 0
b. Total Missing (M) 0 0 0 0 0
c. Total Filled (F) 0 0 0 0 0
B.SERVICES RENDERED
1. No. Given OP / Scaling 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. No. Given Permanent Fillings 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. No. Given Temporary Fillings 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4. No. Given Extraction 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5. No. Given Gum Treatment 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6. No. Given Sealant 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7. No. Completed Fluoride Therapy 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8. No. Given Post-Operative Treatment 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9. No. of Patient with Oral Abscess Drained 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10. No Given Other Services 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11. No. Referred 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12. No. Given Counseling / Education on Tobacco, Oral Health, Diet, Etc. 0
13. No. of Under Six Children Completed Toothbrush Drill 0 0
C. NO. OF ORALLY FIT CHILDREN (OFC) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. OFC Upon Oral Examination 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2.OFC Upon Complete Oral Rehabilitation 0 0 0 0 0 0 0 0 0 0 0 0 0 0

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Designation
TATUS AND SERVICES QUARTERLY REPORT

OLDER
YOUNG ADULT OTHER GROUPS TOTAL
PERSONS PREGNANT GRAND
10-24 Y/O 6-9 AND OTHER ADULTS ALL AGES
60+ Y/O WOMEN TOTAL
F M F M F M F
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
Month/Quarter/Year 3rd Quarter 2018 CONSOLIDATED ORAL HEALTH STATUS AND SERVIC
Center for Health Development III
Municipality/City/Province
UNDER SIX CHILDREN YOUNG ADULT
<1 1 2 3 4 5 TOTAL 10-24 Y/O
M F M F M F M F M F M F M F M

NO. OF PERSON ATTENDED 0 0 0 0 0 0 3 7 99 83 37 39 139 129 67


NO. OF PERSON EXAMINED 0 0 0 0 0 0 3 7 99 83 37 39 139 129 51
A. ORAL HEALTH STATUS
1. Total No. with Dental Caries 0 0 0 0 0 0 2 6 87 77 34 14 123 97 51
2. Total No. with Gingivitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Total No. with Periodontal Disease 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4. Total No. with Oral Debris 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5. Total No. with Calculus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6. Total No. with Dento Facial Anomalies (cleft lip/palate. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
Malocclusion, etc)
7. Total (d/f) 0 0 0 0 0 0 8 47 719 544 261 264 988 855
a. Total decayed (d) 0 0 0 0 0 0 8 47 718 543 261 264 987 854
b. Total filled (f) 0 0 0 0 0 0 0 0 1 1 0 0 1 1
8. Total (D/M/F) 0 0 0 0 795
a. Total Decayed (D) 0 0 0 0 410
b. Total Missing (M) 0 0 0 0 380
c. Total Filled (F) 0 0 0 0 5
B.SERVICES RENDERED
1. No. Given OP / Scaling 0 0 0 0 0 0 0 5 63 67 23 7 86 79 0
2. No. Given Permanent Fillings 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. No. Given Temporary Fillings 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4. No. Given Extraction 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54
5. No. Given Gum Treatment 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6. No. Given Sealant 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7. No. Completed Fluoride Therapy 0 0 0 0 0 0 0 0 18 13 14 16 32 29 0
8. No. Given Post-Operative Treatment 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9. No. of Patient with Oral Abscess Drained 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10. No Given Other Services 0 0 0 0 0 0 0 6 99 80 37 39 136 125 5
11. No. Referred 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2
12. No. Given Counseling / Education on Tobacco, Oral Health, Diet, Etc. 50
13. No. of Under Six Children Completed Toothbrush Drill 32 29
C. NO. OF ORALLY FIT CHILDREN (OFC) 0 0 0 0 0 0 1 1 12 6 3 5 16 12
1. OFC Upon Oral Examination 0 0 0 0 0 0 1 1 12 6 3 5 16 12
2.OFC Upon Complete Oral Rehabilitation 0 0 0 0 0 0 0 0 0 0 0 0 0 0

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Designation
TATUS AND SERVICES QUARTERLY REPORT

OLDER
YOUNG ADULT OTHER GROUPS TOTAL
PERSONS PREGNANT GRAND
10-24 Y/O 6-9 AND OTHER ADULTS ALL AGES
60+ Y/O WOMEN TOTAL
F M F M F M F
54 37 29 89 86 72 329 373 702
42 31 26 78 67 65 288 340 628

42 31 26 55 67 56 272 276 548


0 1 0 21 7 8 8 29 37
0 3 1 0 0 0 3 1 4
3 0 0 2 4 0 4 5 9
0 0 5 32 6 7 6 44 50
1 0 0 2 4 1 5 4 9
988 855 1843
987 854 1841
1 1 2
690 755 682 1086 1020 1062 2570 3520 6090
383 258 246 624 585 566 1253 1819 3072
303 497 436 456 428 479 1305 1674 2979
4 0 0 6 7 17 12 27 39

0 0 0 0 0 0 86 79 165
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
45 31 28 0 74 59 159 132 291
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0
2 3 0 35 31 66
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
6 0 0 0 2 1 143 132 275
4 1 1 5 6 4 9 14 23
42 31 28 78 64 54 145 202 347
32 29 61
16 12 28
16 12 28
0 0 0
Month/Quarter/Year 4th Quarter 2018 CONSOLIDATED ORAL HEALTH STATUS AND SERVIC
Center for Health Development III
Municipality/City/Province
UNDER SIX CHILDREN YOUNG ADULT
<1 1 2 3 4 5 TOTAL 10-24 Y/O
M F M F M F M F M F M F M F M

NO. OF PERSON ATTENDED 0 0 0 0 0 0 0 1 9 12 3 3 12 16 21


NO. OF PERSON EXAMINED 0 0 0 0 0 0 0 1 9 12 3 3 12 16 18
A. ORAL HEALTH STATUS
1. Total No. with Dental Caries 0 0 0 0 0 0 0 1 9 12 3 3 12 16 18
2. Total No. with Gingivitis 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0
3. Total No. with Periodontal Disease 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4. Total No. with Oral Debris 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2
5. Total No. with Calculus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6. Total No. with Dento Facial Anomalies (cleft lip/palate. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Malocclusion, etc)
7. Total (d/f) 0 0 0 0 0 0 0 1 94 68 23 28 117 97
a. Total decayed (d) 0 0 0 0 0 0 0 1 94 68 23 28 117 97
b. Total filled (f) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8. Total (D/M/F) 0 0 0 0 278
a. Total Decayed (D) 0 0 0 0 149
b. Total Missing (M) 0 0 0 0 127
c. Total Filled (F) 0 0 0 0 2
B.SERVICES RENDERED
1. No. Given OP / Scaling 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. No. Given Permanent Fillings 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. No. Given Temporary Fillings 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4. No. Given Extraction 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18
5. No. Given Gum Treatment 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6. No. Given Sealant 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7. No. Completed Fluoride Therapy 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8. No. Given Post-Operative Treatment 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9. No. of Patient with Oral Abscess Drained 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10. No Given Other Services 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11. No. Referred 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12. No. Given Counseling / Education on Tobacco, Oral Health, Diet, Etc. 18
13. No. of Under Six Children Completed Toothbrush Drill 0 0
C. NO. OF ORALLY FIT CHILDREN (OFC) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. OFC Upon Oral Examination 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2.OFC Upon Complete Oral Rehabilitation 0 0 0 0 0 0 0 0 0 0 0 0 0 0

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Designation
TATUS AND SERVICES QUARTERLY REPORT

OLDER
YOUNG ADULT OTHER GROUPS TOTAL
PERSONS PREGNANT GRAND
10-24 Y/O 6-9 AND OTHER ADULTS ALL AGES
60+ Y/O WOMEN TOTAL
F M F M F M F
29 10 13 19 28 30 71 107 178
27 9 12 17 26 28 65 100 165

27 9 12 17 26 28 65 100 165
2 1 0 2 3 3 4 8 12
0 0 0 1 0 0 0 1 1
1 0 0 0 0 0 2 1 3
0 0 0 2 0 1 0 3 3
0 0 0 2 0 0 0 2 2
117 97 214
117 97 214
0 0 0
375 219 205 323 491 418 988 1321 2309
186 62 77 218 274 228 485 709 1194
189 157 128 99 213 187 497 603 1100
0 0 0 6 4 3 6 9 15

0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
26 9 12 0 23 28 50 66 116
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 1 0 1 0 1
0 0 0 0 0 0 0 0 0
0 0 0 2 1 0 1 2 3
0 0 1 0 0 0 0 1 1
27 9 12 17 25 28 52 84 136
0 0 0
0 0 0
0 0 0
0 0 0
Month/Quarter/Year January - June 2018 CONSOLIDATED ORAL HEALTH STATUS AND SERVIC
Center for Health Development III
Municipality/City/Province
UNDER SIX CHILDREN YOUNG ADULT
<1 1 2 3 4 5 TOTAL 10-24 Y/O
M F M F M F M F M F M F M F M

NO. OF PERSON ATTENDED 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


NO. OF PERSON EXAMINED 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A. ORAL HEALTH STATUS
1. Total No. with Dental Caries 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Total No. with Gingivitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Total No. with Periodontal Disease 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4. Total No. with Oral Debris 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5. Total No. with Calculus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6. Total No. with Dento Facial Anomalies (cleft lip/palate. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Malocclusion, etc)
7. Total (d/f) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
a. Total decayed (d) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Total filled (f) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8. Total (D/M/F) 0 0 0 0 0
a. Total Decayed (D) 0 0 0 0 0
b. Total Missing (M) 0 0 0 0 0
c. Total Filled (F) 0 0 0 0 0
B.SERVICES RENDERED
1. No. Given OP / Scaling 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. No. Given Permanent Fillings 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. No. Given Temporary Fillings 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4. No. Given Extraction 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5. No. Given Gum Treatment 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6. No. Given Sealant 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7. No. Completed Fluoride Therapy 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8. No. Given Post-Operative Treatment 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9. No. of Patient with Oral Abscess Drained 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10. No Given Other Services 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11. No. Referred 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12. No. Given Counseling / Education on Tobacco, Oral Health, Diet, Etc. 0
13. No. of Under Six Children Completed Toothbrush Drill 0 0
C. NO. OF ORALLY FIT CHILDREN (OFC) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. OFC Upon Oral Examination 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2.OFC Upon Complete Oral Rehabilitation 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Prepared By:

Signature Over Printed Name


Designation
TATUS AND SERVICES QUARTERLY REPORT

OLDER
YOUNG ADULT OTHER GROUPS TOTAL
PERSONS PREGNANT GRAND
10-24 Y/O 6-9 AND OTHER ADULTS ALL AGES
60+ Y/O WOMEN TOTAL
F M F M F M F
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
Month/Quarter/Year July - December 2018 CONSOLIDATED ORAL HEALTH STATUS AND SERVIC
Center for Health Development III
Municipality/City/Province
UNDER SIX CHILDREN YOUNG ADULT
<1 1 2 3 4 5 TOTAL 10-24 Y/O
M F M F M F M F M F M F M F M

NO. OF PERSON ATTENDED 0 0 0 0 0 0 3 8 108 95 40 0 151 103 88


NO. OF PERSON EXAMINED 0 0 0 0 0 0 3 8 108 95 40 0 151 103 69
A. ORAL HEALTH STATUS
1. Total No. with Dental Caries 0 0 0 0 0 0 2 7 96 89 37 0 135 96 69
2. Total No. with Gingivitis 0 0 0 0 0 0 0 0 0 0 0 16 0 16 0
3. Total No. with Periodontal Disease 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4. Total No. with Oral Debris 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2
5. Total No. with Calculus 0 0 0 0 0 0 0 0 0 0 0 39 0 39 0
6. Total No. with Dento Facial Anomalies (cleft lip/palate. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
Malocclusion, etc)
7. Total (d/f) 0 0 0 0 0 0 8 48 813 612 284 0 1105 660
a. Total decayed (d) 0 0 0 0 0 0 8 48 812 611 284 292 1104 951
b. Total filled (f) 0 0 0 0 0 0 0 0 1 1 0 0 1 1
8. Total (D/M/F) 0 5 0 0 1073
a. Total Decayed (D) 0 0 0 0 559
b. Total Missing (M) 0 0 0 0 507
c. Total Filled (F) 0 0 0 0 7
B.SERVICES RENDERED
1. No. Given OP / Scaling 0 0 0 0 0 0 0 5 63 67 23 7 86 79 0
2. No. Given Permanent Fillings 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. No. Given Temporary Fillings 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4. No. Given Extraction 0 0 0 0 0 0 0 0 0 0 0 0 0 0 72
5. No. Given Gum Treatment 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6. No. Given Sealant 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7. No. Completed Fluoride Therapy 0 0 0 0 0 0 0 0 18 13 14 16 32 29 0
8. No. Given Post-Operative Treatment 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9. No. of Patient with Oral Abscess Drained 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10. No Given Other Services 0 0 0 0 0 0 0 6 99 80 37 39 136 125 5
11. No. Referred 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2
12. No. Given Counseling / Education on Tobacco, Oral Health, Diet, Etc. 68
13. No. of Under Six Children Completed Toothbrush Drill 32 29
C. NO. OF ORALLY FIT CHILDREN (OFC) 0 0 0 0 0 0 1 1 12 6 3 5 16 12
1. OFC Upon Oral Examination 0 0 0 0 0 0 1 1 12 6 3 5 16 12
2.OFC Upon Complete Oral Rehabilitation 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Prepared By:

Signature Over Printed Name


Designation
TATUS AND SERVICES QUARTERLY REPORT

OLDER
YOUNG ADULT OTHER GROUPS TOTAL
PERSONS PREGNANT GRAND
10-24 Y/O 6-9 AND OTHER ADULTS ALL AGES
60+ Y/O WOMEN TOTAL
F M F M F M F
83 47 42 108 114 102 400 438 838
69 40 38 95 93 93 353 398 751

69 40 38 72 93 84 337 359 696


2 2 0 23 10 11 12 52 64
0 3 1 1 0 0 3 2 5
4 0 0 2 4 0 6 6 12
0 0 5 34 6 8 6 86 92
1 0 0 4 4 1 5 6 11
1105 660 1765
1104 951 2055
1 1 2
1065 974 887 1409 1511 1480 3558 4841 8399
569 320 323 842 859 794 1738 2528 4266
492 654 564 555 641 666 1802 2277 4079
4 0 0 12 11 20 18 36 54

0 0 0 0 0 0 86 79 165
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
71 40 40 0 97 87 209 198 407
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0
2 3 0 35 31 66
0 0 0 0 1 0 1 0 1
0 0 0 0 0 0 0 0 0
6 0 0 2 3 1 144 134 278
4 1 2 5 6 4 9 15 24
69 40 40 95 89 82 197 286 483
32 29 61
16 12 28
16 12 28
0 0 0
Month/Quarter/Year Annual 2018 CONSOLIDATED ORAL HEALTH STATUS AND SERVIC
Center for Health Development III
Municipality/City/Province
UNDER SIX CHILDREN YOUNG ADULT
<1 1 2 3 4 5 TOTAL 10-24 Y/O
M F M F M F M F M F M F M F M

NO. OF PERSON ATTENDED 0 0 0 0 0 0 3 8 108 95 40 0 151 103 88


NO. OF PERSON EXAMINED 0 0 0 0 0 0 3 8 108 95 40 0 151 103 69
A. ORAL HEALTH STATUS
1. Total No. with Dental Caries 0 0 0 0 0 0 2 7 96 89 37 0 135 96 69
2. Total No. with Gingivitis 0 0 0 0 0 0 0 0 0 0 0 16 0 16 0
3. Total No. with Periodontal Disease 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4. Total No. with Oral Debris 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2
5. Total No. with Calculus 0 0 0 0 0 0 0 0 0 0 0 39 0 39 0
6. Total No. with Dento Facial Anomalies (cleft lip/palate. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
Malocclusion, etc)
7. Total (d/f) 0 0 0 0 0 0 8 48 813 612 284 292 1105 952
a. Total decayed (d) 0 0 0 0 0 0 8 48 812 611 284 292 1104 951
b. Total filled (f) 0 0 0 0 0 0 0 0 1 1 0 0 1 1
8. Total (D/M/F) 0 0 0 0 1073
a. Total Decayed (D) 0 0 0 0 559
b. Total Missing (M) 0 0 0 0 507
c. Total Filled (F) 0 0 0 0 7
B.SERVICES RENDERED
1. No. Given OP / Scaling 0 0 0 0 0 0 0 5 63 67 23 7 86 79 0
2. No. Given Permanent Fillings 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. No. Given Temporary Fillings 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4. No. Given Extraction 0 0 0 0 0 0 0 0 0 0 0 0 0 0 72
5. No. Given Gum Treatment 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6. No. Given Sealant 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7. No. Completed Fluoride Therapy 0 0 0 0 0 0 0 0 18 13 14 16 32 29 0
8. No. Given Post-Operative Treatment 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9. No. of Patient with Oral Abscess Drained 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10. No Given Other Services 0 0 0 0 0 0 0 6 99 80 37 39 136 125 5
11. No. Referred 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2
12. No. Given Counseling / Education on Tobacco, Oral Health, Diet, Etc. 68
13. No. of Under Six Children Completed Toothbrush Drill 32 29
C. NO. OF ORALLY FIT CHILDREN (OFC) 0 0 0 0 0 0 1 1 12 6 3 5 16 12
1. OFC Upon Oral Examination 0 0 0 0 0 0 1 1 12 6 3 5 16 12
2.OFC Upon Complete Oral Rehabilitation 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Prepared By:

Signature Over Printed Name


Designation
TATUS AND SERVICES QUARTERLY REPORT

OLDER
YOUNG ADULT OTHER GROUPS TOTAL
PERSONS PREGNANT GRAND
10-24 Y/O 6-9 AND OTHER ADULTS ALL AGES
60+ Y/O WOMEN TOTAL
F M F M F M F
83 47 42 108 114 102 400 438 838
69 40 38 95 93 93 353 398 751

69 40 38 72 93 84 337 359 696


2 2 0 23 10 11 12 52 64
0 3 1 1 0 0 3 2 5
4 0 0 2 4 0 6 6 12
0 0 5 34 6 8 6 86 92
1 0 0 4 4 1 5 6 11
1105 952 2057
1104 951 2055
1 1 2
1065 974 887 1409 1511 1480 3558 4841 8399
569 320 323 842 859 794 1738 2528 4266
492 654 564 555 641 666 1802 2277 4079
4 0 0 12 11 20 18 36 54

0 0 0 0 0 0 86 79 165
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
71 40 40 0 97 87 209 198 407
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0
2 3 0 35 31 66
0 0 0 0 1 0 1 0 1
0 0 0 0 0 0 0 0 0
6 0 0 2 3 1 144 134 278
4 1 2 5 6 4 9 15 24
69 40 40 95 89 82 197 286 483
32 29 61
16 12 28
16 12 28
0 0 0

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